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1568186542
LILLIE GRACE ELLIOTT
KINGSPORT, TN
NPI
1568186542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 34360)
Enumeration Date
2022-10-03
Last Update Date
2024-09-18
Business Address
LILLIE GRACE ELLIOTT MSN, PMHNP-BC
10368 WALLACE ALLEY ST
KINGSPORT, TN 37663-3977
Phone number: 423-530-3703
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Mailing Address
LILLIE GRACE ELLIOTT MSN, PMHNP-BC
800 BIG HOLLOW RD
BLOUNTVILLE, TN 37617-5327
Phone number:
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